NPI | 1184823577 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 1105091) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 695675) |
363LF0000X Nurse Practitioner, Family (Licence: TX AP116069) | |
Enumeration Date | 2007-07-16 |
Last Update Date | 2025-09-08 |